Member Care Services Associate-Quest Integration
Kaiser Permanente
Member Care Services Associate-Quest Integration
Job Description
Job Summary:
Provides case management services to Kaiser Permanente Quest Integration (QI) members and their families to help navigate personal, social, financial, and medical needs. Works with QI RN Manager to assign QI members (adults, seniors and children) with special health care needs to appropriate care manager(CM)/care coordinator(CC). Works with RN Manager to develop QI processes for successful care management integration. Coordinates monthly collaborative Care Rounds. Develops and implements tracking systems for QI processes including, but not limited to, QI Face to Face Health Functional Assessments (HFA), Early and Periodic Screening, Diagnosis and Treatment (EPDST) including CM/CC member follow-ups. Develops and implements QI care plan summary templates for KP EHR. Develops and implements a tool box for initial HFA and reassessments for CM/CC.
Essential Responsibilities:
- Develops the QI care management tool box for initial and reassessment materials needed for a home visit. Develops QI check lists and implements them.
- Receives and performs initial triage of paraprofessional. Assists with resource development. Networks with other community based services. Works closely with CM/CC for referral regarding Home Community Based Services (HCBS)/Durable Medical Equipment (DME), dental services, Social, Emotional, and Behavioral Difficulties (SEBD)/Severely Mentally Ill (SMI), Child Welfare Services, Adult Protection Services (APS), and Developmental Delayed (DD).
- Provides member care services to Kaiser Permanente QI enrollees. Navigates services based on medical, social and psychosocial needs, educates members on QI program and offers assistance as needed.
- Navigates transportation and housing needs for members and/or their families for medical services both Inter island and on the Mainland.
- Works with RN manager to assign QI member caseloads to RN CM and LSW CC. Develops and implements a HFA tracking form for RN CM/LSW CC in home visits and follow-ups.
- Interprets and explains services of Kaiser Permanente QI program to members and families. Acts as QI member and family advocate. Navigates the health care system and health care services available to our members. Acts as liaison to promote Kaiser philosophy and services. Confirms QI coverage to patients and service providers within Kaiser as needed.
Locations
- Wailuku, Hawaii, United States
Salary
Estimated Salary Rangemedium confidence
90,000 - 150,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- case managementintermediate
- care coordinationintermediate
- resource developmentintermediate
- networking with community servicesintermediate
- tracking systems developmentintermediate
- process developmentintermediate
- triageintermediate
- navigation of services (medical, social, psychosocial, transportation, housing)intermediate
Responsibilities
- Provides case management services to QI members and families
- Assigns QI members to appropriate care manager/coordinator
- Develops QI processes for care management integration
- Coordinates monthly Care Rounds
- Develops tracking systems for QI processes (HFA, EPDST, follow-ups)
- Develops QI care plan summary templates for EHR
- Develops toolbox for HFA and reassessments
- Develops care management toolbox and checklists
- Performs initial triage of paraprofessionals
- Assists with resource development
- Networks with community services
- Works with CM/CC on referrals (HCBS, DME, dental, SEBD/SMI, Child Welfare, APS, DD)
- Provides member care services and education
- Navigates transportation and housing needs
Tags & Categories
Answer 10 quick questions to check your fit for Member Care Services Associate-Quest Integration @ Kaiser Permanente.
10 Questions
~2 Minutes
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Member Care Services Associate-Quest Integration
Kaiser Permanente
Member Care Services Associate-Quest Integration
Job Description
Job Summary:
Provides case management services to Kaiser Permanente Quest Integration (QI) members and their families to help navigate personal, social, financial, and medical needs. Works with QI RN Manager to assign QI members (adults, seniors and children) with special health care needs to appropriate care manager(CM)/care coordinator(CC). Works with RN Manager to develop QI processes for successful care management integration. Coordinates monthly collaborative Care Rounds. Develops and implements tracking systems for QI processes including, but not limited to, QI Face to Face Health Functional Assessments (HFA), Early and Periodic Screening, Diagnosis and Treatment (EPDST) including CM/CC member follow-ups. Develops and implements QI care plan summary templates for KP EHR. Develops and implements a tool box for initial HFA and reassessments for CM/CC.
Essential Responsibilities:
- Develops the QI care management tool box for initial and reassessment materials needed for a home visit. Develops QI check lists and implements them.
- Receives and performs initial triage of paraprofessional. Assists with resource development. Networks with other community based services. Works closely with CM/CC for referral regarding Home Community Based Services (HCBS)/Durable Medical Equipment (DME), dental services, Social, Emotional, and Behavioral Difficulties (SEBD)/Severely Mentally Ill (SMI), Child Welfare Services, Adult Protection Services (APS), and Developmental Delayed (DD).
- Provides member care services to Kaiser Permanente QI enrollees. Navigates services based on medical, social and psychosocial needs, educates members on QI program and offers assistance as needed.
- Navigates transportation and housing needs for members and/or their families for medical services both Inter island and on the Mainland.
- Works with RN manager to assign QI member caseloads to RN CM and LSW CC. Develops and implements a HFA tracking form for RN CM/LSW CC in home visits and follow-ups.
- Interprets and explains services of Kaiser Permanente QI program to members and families. Acts as QI member and family advocate. Navigates the health care system and health care services available to our members. Acts as liaison to promote Kaiser philosophy and services. Confirms QI coverage to patients and service providers within Kaiser as needed.
Locations
- Wailuku, Hawaii, United States
Salary
Estimated Salary Rangemedium confidence
90,000 - 150,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- case managementintermediate
- care coordinationintermediate
- resource developmentintermediate
- networking with community servicesintermediate
- tracking systems developmentintermediate
- process developmentintermediate
- triageintermediate
- navigation of services (medical, social, psychosocial, transportation, housing)intermediate
Responsibilities
- Provides case management services to QI members and families
- Assigns QI members to appropriate care manager/coordinator
- Develops QI processes for care management integration
- Coordinates monthly Care Rounds
- Develops tracking systems for QI processes (HFA, EPDST, follow-ups)
- Develops QI care plan summary templates for EHR
- Develops toolbox for HFA and reassessments
- Develops care management toolbox and checklists
- Performs initial triage of paraprofessionals
- Assists with resource development
- Networks with community services
- Works with CM/CC on referrals (HCBS, DME, dental, SEBD/SMI, Child Welfare, APS, DD)
- Provides member care services and education
- Navigates transportation and housing needs
Tags & Categories
Answer 10 quick questions to check your fit for Member Care Services Associate-Quest Integration @ Kaiser Permanente.
10 Questions
~2 Minutes
Instant Score
Related Books and Jobs